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Home My WebLink AboutAPPLICATIONS, CO, BP - 05-00213 - 626 Cook St - New SFRZ O n rn ._ f, o ~ ~ ~ D 0 0 ~~ so ~ -o m `° ~ 3 m a ~ °- m v ~ .. a r: ~ m O N ~ N' N d ~ - ~ •~~• .N-' 7 Q N M ~ ~ Q C N (~ ' y n O ~ c 3 ~ ~ m m ~ ~ a A ~ N ~ 2 C d A ~~.. o: ? y o ~ ~ v ~ C ~ ~ Q 7 ~ 3 ~ O o m ~ ~ ~ m ~ ~ 3 v ~ c. v ~i 3 (7 3 .N-. o o ~~~ ~~ =~o ~o~~o < . ~vN~~ _~ N Z~~ d NN Q--~ o ~ ~ ~ o. a o~ o ~v N ~~ vv~~.' _~ "•,~»~ 0 m ~ ~ 5'~ ~ o f °- m ~~s~~ ~oo~o m ~ a a = p 3o,c» ~: ~ _ ~ ~, m ~ Q ~~~ ~ ~ ~ ~ ~ ~~' , ~ tQ y. ~. ~ ~ ~. ~. N O. C ~ o ~ c ~ ~ . ~ `~ ~ ~= ~ C ~• ~ r. m . r- ~ ~ '~ ^ N " d 0 Q. Q ~ y H ~ C W Z ~_ O ~ ~- ~ ~- o ~ tH S N ~ ~ O = ~ ~ W C1 ~ 3 p, o? ~ ID 1 Q c N ' ~ ~ . 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Main St. / Rexburg, ID. 83440 Building Permit No: 05 00213 Applicable Edition of Code: International Residential Code 2003 Site Address: 626 Cook St Use and Occupancy: Single Family Residence Type of Cons#ruction: Type V-N, Unprotected Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Harris Trent Etux 3599 N 250 E Rexburg, ID 83440 Contractor: Trent Harris Const. Special Conditions: ~~~~~:~ ~~ ~~~ ~~~ s~.r~~-~t' Occupancy: Residential, single family dwellings, lodging houses This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that wes inspected on the date listed vies found to be in compliance vuth the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: June 15, 200 C.O Issued by: Building Official There shall be no further change in the existing occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Water Department:~~---~ Fire Department: State of Idaho Electrical Department (208-356-483 CITY OF REXB URG • PERMIT # • BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208-359-3020 X322 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: J7~~'nr1,~2I0N UNIT# BLOCK# ~ LOT# (Addressing is based on the information -must be accurate) OWNER: ?'1~nlT h~R(Ze1S L~ ~rsT~vz.~~y~NTACT PHONE # 3 1- PROPERTY ADDRESS: PHONE #: Home (ZQ~ 3.57 - ~~.~ Work ( ) Cell ~q~'J ,~$~/-'~~,S'J OWNER MAILING ADDRESS: ~~~1 /V , 2SZZ~.CITY: ,~~~IP~6STATE:ZDZIPYS~O EMAILT~I-NT~y.aeR~S Go~I~~ FAX ~.~ "7~'.S`7 M~Yi c APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: A RESS CITY: STATE; ZIP I FAX PHONE #: Home ( ) ork ( ) Cell ( ) CONTRACTOR: ?~~/T H~1Z-(elf Cc5~3~yci-1o~y MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# ~-- EMAIL F How many buildings are located on this nronertv? Did you recently purchase this property? No (Y s'~(If yes give owner's name) T~Er/Ti~j~ielf Cc~~JJ 71 Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: ,~ i~Gl~ ~r9'; (i.e., Single Family Residence, Multi Family, Apartments, w Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. S ure of Owner/Annhcant DATE you prefer to be contacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1, 2005. City of Rezburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if you check does not clear** ,~ CITY O~ • ~ s R.E:XBLIR~ f- __ a ,- ,~ AMERICAS FAMILY CC?MMUNiFY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg, Idaho 83440 Fax: 208-359-3024 www.rexburq.orq comdev a[~.rexburg.orq Affidavit of Legal Interest State of Idaho County of Madison Name Address ~x~~ ~ , clty .~~i~j~ State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this 2 ~ day of ~yti~ , 20 d S~ ~---~~s ._.~~ ~~ Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME '7'~~N" .~ H~A~-~ ~f Co i•.rSTe/c7-ta ~/ PROPERTY ADDRESS Permit# SUBDIVISION ,tfE'~D LC,e('~N Dwelling Units SETBACKS FRONT .32 SIDE Parcel Acres: 7,y ,~ SIDE ~~ BACK Remodeling Your Building/Home (need Estimate) $ Zv SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ~'7~i/ Second floor/loft area Third floor/loft area Shed or Barn Unfinished Basement area Finished basement area / !s / Garage area , ~ O Carport/Deck (30" above grade)Area Water Meter Count: Water Meter Size: '3~5~ Required!!! PLUMBING Plumbing Contractor's Name: ~h'~ ~ ~ L~G(~ Business Name: G'iyJ ~C v/a?8i~/'~, Address ~ ~ ~ ~ g o x L 12 City ST ~~~/TbSur/Y State ~1~ Zip ~3yY Contact Phone: (Zd ~') 3 9U - y0 G3 Business Phone: (ZDd~ ~ Z `~ - / '~.~'~ Email Fax G Z L~ - t,'~ 9 2 FIXTURE COUNT (including roughed fixtures) 1 Clothes Washing Machine .~~ Sprinklers Dishwasher y Tub/Showers J Floor Drain 3 Toilet/Urinal Garbage Disposal Z Water Heater NA Hot Tub/Spa ~ Water Softener y sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Sj ature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho . a Please complete the ent~ Application) If the question doe•t apply fill in NA for non applicable NAME ~~vT ~4Ge~l Cc, rtS T PROPERTY ADDRESS Permit# SUBDIVISION ~..~ Required!!! MECHANICAL Mechanical Contractor's Name: ,~y ~~~.~ ~Jt..- Business Name: ~ ~~ ~~~jr~ LAG Address ?~j ~~~ yr ~~o~~ ~~~~,.- City ~~y ;~-~ State Zip~~C- Contact Phone: ~~~ )~~'3 Cl~~ ~, Business Phone: ) ,~~`3 ~~ O ,~ Email Fax Mechanical Estimate $ (CommerciaUMulti Family Only) ~~ FIXTURES & APPLL4NCES COUNT (Single Family Dwe~lli~n Only) Furnace ~~' ~~ Exhaust or Vent Ducts `'~ Furnace/Air Conditioner Combo ~ "~~ Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Range Hood Vents /~ Cook Stove Vents ~~~ Bath Fan Vents other similar vents & ducts: Similar fixtures or Appliances ~,~ Fuel Gas Pipe Outlets including stubbed in or future outlets ,b`\ Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ,,., ignature of Licensed Contractor Li se number ate The City of Rexburg's permit fee schedule is the same as required by the State of Idaho e i y ~ SUBCONTRACTOR LIST Excavation & Earthwork: ~~9-UFBz C6~ l~ uC 770~/ Concrete: /~ ~C ~DNGk~T~ Masonry: ~//1'1Q,/ tyl„d~L If Roofing: ~~~ 1~da ~~^~ Insulation: ~ 1/'~•n/~Q~ ~ ~.f to ~"1 o N Drywall: Ti/ 7- b~Z ~w~h-Z L Painting: ~; lG ~i'y~N ~ /~~ r( ~~-r •~71 ~~ Floor Coverings: U~'7iL o w S Tb~ 1~0- r ~ CE.~~.2 Plumbing:~~-/L ~L t!rn ~ in~(~ Heating: ~`~ ~ ~~-~~`/ ~"G Electrical: V ! ~ G / ti ~~C 7~ ! C Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: ~-~ 1-~~J' 7~ r1.~ t-.f~-!' T Other: